Individual
ERICA SELF SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13820 OLD ST. AUGUSTINE RD #101, JACKSONVILLE, FL 32258
(904) 260-2565
(904) 246-6878
Mailing address
13820 OLD ST. AUGUSTINE RD #101, JACKSONVILLE, FL 32258
(904) 260-2565
(904) 246-6878
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9265570
FL
Other
Enumeration date
08/17/2012
Last updated
04/10/2024
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